Marilyn P King, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024164755 Issued in VA

Practice address

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954

Phone

(928) 537-6937

Fax

(928) 537-8798

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Healthcare Association 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
• White Mountain Regional Medical Center Hospital, Springerville, AZ, CCN 031315

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marilynking@shrmcshma.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Healthcare Association

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271

  AZ, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Summit Healthcare Association

  • Home Health Agency
  • Show Low, AZ
  • NPI 1134199839
  Care Compare group
• Summit Healthcare Association

  • Psychiatric Hospital Unit
  • Show Low, AZ
  • NPI 1477104552
  Care Compare group
• Summit Healthcare Association

  • Community/Retail Pharmacy
  • Show Low, AZ
  • NPI 1811468804
  Care Compare group
• Summit Healthcare Association

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Healthcare Association

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128

  Hospital

  Care Compare affiliation
• Summit Healthcare Association

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271

  Hospital

  Care Compare affiliation
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767

  Hospital

  Care Compare affiliation
• White Mountain Regional Medical Center

  • Critical Access Hospital
  • Springerville, AZ
  • NPI 1699766592

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1740286707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937",
            "fax_number": "757-213-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937",
            "fax_number": "928-537-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARILYN",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "39703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyala Kennedy
• Evone Marie Kent
• Deepa Khari, FNP-C
• David Kies, M.D.
• Angela L Kimmins, IBCLC
• Melinda Joyce Klug, RN, MSN-AGACNP-BC
• John Knippers, MD
• Stephanie M Koch-Prest, RPH
• Richard Marlin Kunkle, LCSW
• Terri Lacey, OT

• All providers in Show Low, AZ
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.